Ortho hnd/fngr w/jnt cstm w/fit&adj at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$233.02
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$599.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$65.89 with WCMG vs $593.01 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| WCMG | Commercial|All Plans | $65.89 | ↓ -72% |
| Kaiser | Medicaid|All Plans | $137.77 | ↓ -41% |
| Kaiser | Commercial|All Plans | $137.77 | ↓ -41% |
| Kaiser | Medicare|All Plans | $137.77 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $143.76 | ↓ -38% |
| Partnership Health Plan | Medicaid|All Plans | $149.75 | ↓ -36% |
| Molina | Medicaid|All Plans | $155.74 | ↓ -33% |
| California Health & Wellness | Medicaid|All Plans | $173.71 | ↓ -25% |
| Health Net | Medicaid|All Plans | $173.71 | ↓ -25% |
| United | Medicaid|< 21 | $183.77 | ↓ -21% |
| United | Medicaid|> 21 | $183.77 | ↓ -21% |
| Hill Physicians | Medicaid|All Plans | $202.15 | ↓ -13% |
| Cigna | Commercial|LocalPlus | $239.60 | ↑ +3% |
| Health Net | Commercial|EPPO | $239.60 | ↑ +3% |
| Cigna | Commercial|All Other Plans | $317.47 | ↑ +36% |
| United | Commercial|Non-Options PPO | $383.36 | ↑ +65% |
| Western Health Advantage | Commercial|All Plans | $389.35 | ↑ +67% |
| United | Commercial|HMO | $395.34 | ↑ +70% |
| United | Commercial|All Other Plans | $407.32 | ↑ +75% |
| Blue Shield CA | Commercial|ACO Trio | $419.30 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $449.25 | ↑ +93% |
| Health Net | Commercial|FFS | $449.25 | ↑ +93% |
| First Health | Commercial|All Plans | $449.25 | ↑ +93% |
| BCBS - Anthem | Commercial|Connection EPO | $473.21 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $479.20 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $491.18 | ↑ +111% |
| Blue Shield CA | Commercial|Exchange | $509.15 | ↑ +119% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $509.15 | ↑ +119% |
| Blue Shield CA | Commercial|HMO | $539.10 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $539.10 | ↑ +131% |
| Blue Shield CA | Commercial|PPO Tandem | $539.10 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $551.08 | ↑ +136% |
| Aetna | Commercial|HMO | $575.04 | ↑ +147% |
| Aetna | Commercial|All Other Plans | $575.04 | ↑ +147% |
| Aetna | Commercial|PPO | $575.04 | ↑ +147% |
| BCBS - Anthem | Commercial|MCS | $593.01 | ↑ +154% |
| BCBS - Anthem | Commercial|All Other Plans | $593.01 | ↑ +154% |
Visitor-reported prices
Comments
Ortho hnd/fngr w/jnt cstm w/fit&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $86.89 | $101.50 – $198.94 |
| French Hospital | San Luis Obispo | $79.58 | $38.57 – $198.94 |
| Dominican Hospital | Santa Cruz | $228.60 | $183.77 – $508.00 |
| Mercy San Juan Medical Center | Carmichael | $164.13 | $65.89 – $509.15 |
| Mercy General Hospital | Sacramento | $130.59 | $137.77 – $533.11 |
| Woodland Memorial Hospital | Woodland | $164.13 | $65.89 – $599.00 |
| Methodist Hospital of Sacramento | Sacramento | $172.52 | $137.77 – $539.10 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $105.00 | $350.66 – $648.72 |